<form class="contact-form" action="javascript:void(0)" onsubmit="SendContact();" method="post">
	<fieldset>
		<legend>{#contact_us#}</legend>
		
		<label for="name">{#FullName#}:</label>
		<input type="text" name="name" id="name" size="30" />
		
		<label for="email">{#Email#}:</label>
		<input type="text" name="email" id="email" size="30" />

		<label class="auto" for="message">{#Message#}:</label>
		<textarea name="message" id="message" rows="3" cols="40"></textarea>
		
		<label for="captcha">{#captcha#}:</label>
		<img src="{#root#}/captcha/" align="left" alt="{#captcha#}" class="captcha-image" />
		<input type="text" name="captcha" id="captcha" size="5" class="captcha-input" />
		
		<br clear="all" />
		<input type="submit" value="{#send#}" class="submit" />
		<div id="send-status"></div>
		
	</fieldset>
	
	<div class="contact-info">
	{$contactpage}
	</div>
</form>